RPM Access Act

Key Provisions

• Medicare would increase payments for remote patient monitoring (RPM) in areas where current geographic payment adjustments for practice and malpractice expenses are below a certain level (1.00), starting January 1, 2026. This change would not be offset by cutting payments elsewhere.
• Starting January 1, 2026, Medicare would only pay for RPM if a doctor, nurse practitioner, clinical nurse specialist, or physician assistant is available in real time to respond to unusual health readings.
• Starting January 1, 2026, Medicare would only pay for RPM if the monitoring system can share health data with digital patient files when needed.
• Starting January 1, 2026, providers would need to collect and report data to help the government evaluate cost savings from RPM, though the Secretary of Health and Human Services could grant exemptions for hardship.
• The Secretary of Health and Human Services would need to submit a report to Congress within five years of the bill becoming law. This report would analyze Medicare savings from RPM (due to earlier care, fewer hospital stays, and better medication taking) and the costs of providing RPM services.